SANTIBANEZ PAC IDAHO

IDAHO FALLS, ID
NPI1346015948
Entity TypeOrganization
Authorized ContactJULIE ROSER
VP Of Operations
775-222-0045
Organization Subpart ?No
Primary Taxonomy207RG0300X Internal Medicine, Geriatric Medicine
Additional Taxonomies363A00000X Physician Assistant
363L00000X Nurse Practitioner
Enumeration Date2023-11-24
Last Update Date2023-11-24
Business Address
SANTIBANEZ PAC IDAHO
840 E ELVA ST
IDAHO FALLS, ID 83401-2801
Phone number: 208-523-4795
Mailing Address
SANTIBANEZ PAC IDAHO
10775 DOUBLE R BLVD
RENO, NV 89521-8956
Phone number: